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The Professional Medical Journal
Article . 2018 . Peer-reviewed
Data sources: Crossref
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LIVER INJURIES

Authors: Shahnawaz Leghari; Gulshan Ali Memon; Habib ur Rehman Khan Toor;

LIVER INJURIES

Abstract

Objectives: To determine the role (frequency) of non-operative conservative management in liver injuries in blunt abdominal trauma. Methodology:.. Study Design: Descriptive study. Setting: Department of surgery Peoples University of Medical & Health Sciences Nawabshah. Period: 36 months extending from august 2014 to July 2017. Patients & Methods: All Patients with abdominal blunt trauma underwent ABCD evaluation, primary survey, secondary survey and initial management/resuscitation as per needed. History, clinical examination, plain radiographs, ultrasound (FAST) and computerized tomography were used as diagnostic tools. Patients with isolated liver injuries in blunt abdominal trauma wereselected for the present study. Selected cases with hemodynamic instability, even after initial vigorous resuscitation had to undergoes immediate surgical abdominal exploration while the rest of the selected cases were hospitalized and kept under strict monitoring. The decisions of late surgical intervention were then made on deterioration of hemodynamic stability and rapid progression of liver injuries from lower grades to higher grades. Percentages of the cases managed conservatively and rest of others who required surgical interventions were noted. Data was analyzed on SPSS-21. Results: 78 cases were selected with mean age of 38 years & SD± 7. Male to female ratio was 5:1. 11% of the cases with hemodynamic unstability underwent immediate surgical intervention. 8% of the case underwent late surgical operative management after initial course of non operative conservative management. 81% cases were managed with successful non operative conservative approach. Conclusion: Most of the liver injuries in blunt abdominal trauma require non-operative conservative management. The decision of operative management should be taken on the basis of the hemodynamic status and not merely on the grade of the hepatic injury. 

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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